Siddur Dedication Form

A $36 donation is requested for each dedication. You may of course send more if you wish. The donation covers only a portion of the cost of the book in order to make dedicating a prayer book accessible for all.

For my/our siddur dedication:*

I/we would like to make a donation by checkI/we would like to make a donation by credit/debit card

Your name/s as you would like it to be written on the book plate. *

Your Email*

example@example.com

I/we would like my/our donation to be anonymous:*

YesNo

Please indicate the exact dedication wording as you would like it to appear on the book plate (see sample book plate image below). *

When you click the button below, you will be taken to the credit/debit card donation payment page. That page has spots to include a dedication but you do not need to fill it out again, that information has already been captured above.

Let's Go! I understand that I do not need to retype the dedication information on the credit/debit card payment page.